Provider Demographics
NPI:1568065365
Name:JEAN-CLAUBERT, NADEGE (LMSW)
Entity Type:Individual
Prefix:
First Name:NADEGE
Middle Name:
Last Name:JEAN-CLAUBERT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12820 N LAMAR BLVD
Mailing Address - Street 2:APT 1813
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78753
Mailing Address - Country:US
Mailing Address - Phone:407-765-8039
Mailing Address - Fax:
Practice Address - Street 1:12820 N LAMAR BLVD
Practice Address - Street 2:APT 1813
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78753-7875
Practice Address - Country:US
Practice Address - Phone:407-765-8039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69258104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker